Cardiology Questions Answered by Verified Cardiologists.
Hi Matthew. What are your symptoms? How long have you had them?
How long have you had these symptoms?
No, that is not true.
Were you in good health before this started? Are you on any medications?
Those are all classic symptoms of a heart attack, but they need not be present. Some heart attacks are silent.
Any early heart attacks in your family?
There are many different types of cardiac disease, but heart attacks are rare in otherwise healthy individuals your age...unless there are drugs involved.
Unexplained weight loss could be from diabetes, an undiagnosed thyroid condition, a severe anxiety disorder or depression, a GI condition in which there is malabsorption, etc....You need to have basic blood tests done to rule these things out.
I would also suggest you get an electrocardiogram to look at your heart rhythm.
Why were they done?
And that is what they showed.
An EKG would be easy to do and would add to your level of reassurance if normal, which is likely.
The test would be most helpful if you were having symptoms at the time. A sinus tachycardia or PSVT might indicate anxiety or too much caffeine. Afib, Aflutter or a ventricular rhythm would be cause for concern.
Cardiac symptoms can come and go, even if the underlying condition doesn't.
They could...but usually there are other symptoms or other medical conditions asssociated with the heart disease.
While the symptoms may come and go, a person's overall clinical situation usually worsens over time without treatment. A doctor will typically be able to figure out what the cause is as time goes on. If one feels perfectly fine between episodes, and can function normally in all areas of life normal to a 24 year old, there usually is nothing serious going on.
So I wouldn't worry too much, but I would stay in close touch with your GP about your symptoms and any changes that might occur or any new symptoms that might arise.
I would ask him or her about doing a 24-hour Holter test. This is a test in which your heart rhythm is recorded continuously over a 24 hour period.
That helps a lot. It sounds like you are doing the right thing and have been properly evaluated. The holter would be helpful if you could capture one or two of these episodes.
Yes, if it was normal, you could rest easy. If it looked consistent with anxiety, for instance, and nothing else, you could focus on getting that under control and not be burdened with unnecessary concerns about your heart.
Anxiety disorders and panic attacks are very common in otherwise healthy young persons your age, and the symptoms are consistent, including chest discomfort, increased heart rate and shortness of breath. Many such anxiety sufferers describe a feeling of desperation and feeling like they might die. This is a very serious condition though not dangerous in most cases. It can be treated, and often remits for long periods (or forever).
Yes. That would be at the top of the list of possibilities. This can be a very distressing, even terrifying condition, and just the fear of having an attack can trigger one, or make future attacks more likely. Ask your doctor for a referral to a mental health professional. This conditon can be effectively treated with medication and/or counseling/behvioral therapy. There is no need for you to suffer this way.